Fillable Unemployment Deferment Request (Page 2 of 4) in pdf

Borrower Name

Borrower SSN

SECTION 3: BORROWER REQUESTS, UNDERSTANDINGS, CERTIFICATIONS, AND AUTHORIZATION

I request:

• To defer repayment of my loans for the period during which I meet the eligibility criteria in Section 2.

• That my deferment begin on the date I became unemployed or

began working less than full time unless I provide a later date:

If indicated, to make interest payments during deferment.

•

I understand that:

• I am not required to make payments of loan principal or interest during my deferment.

• My deferment will begin on the later of the date I became eligible for the deferment or the date I requested.

• If I am a Direct Loan or FFEL Program borrower, my deferment will end on the earlier of the date I exhaust my

maximum eligibility for the deferment, 12 months from the date my deferment begins, or on the date I am no longer

eligible for the deferment for another reason.

• If I am a Perkins Loan borrower, my deferment will end on the earlier of the date I exhaust my maximum eligibility for

the deferment, 6 months from the date my deferment begins, or on the date I am no longer eligible for the

deferment for another reason.

• If I am a Perkins Loan borrower, I will receive a 6-month post-deferment grace period beginning on the date I no

longer qualify for the deferment.

• Interest may capitalize on my loan during or at the expiration of my deferment or forbearance, but interest never

capitalizes on a Perkins Loan.

• Instead of deferment, I may be eligible for a repayment plan that determines my monthly payment amount based on

my income and that I can visit

StudentAid.gov/IDR

for more information.

I certify that:

• I became unemployed or began working less than full time on:

• The information I have provided on this form is true and correct.

•

I will provide additional documentation to my loan holder, as required, to support my deferment eligibility.

• I will notify my loan holder immediately when my eligibility for the deferment ends.

• I have read, understand, and meet the eligibility requirements in Section 2.

I authorize the entity to which I submit this request and its agents to contact me regarding my request or my loans at any

cellular telephone number that I provide now or in the future using automated telephone dialing equipment or artificial or

prerecorded voice or text messages.

Date

Borrower's Signature

SECTION 4: INSTRUCTIONS FOR COMPLETING THE DEFERMENT REQUEST

Type or print using dark ink. Enter dates as month-day-year (mm-dd-yyyy). Example: March 14, 2015 = 03-14-2015. Include

your name and account number on any documentation that you are required to submit with this form. If you want to apply

for a deferment on loans that are held by different loan holders, you must submit a separate deferment request to each loan

holder. Return the completed form and any required documentation to the address shown in Section 6.

Page 2 of 4

Unemployment Deferment Request Page 2